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JAZMYN WILSON
NPI 1124696042
Social Worker - Clinical in Glen Allen, VA

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
PO BOX 974, GLEN ALLEN, VA 23060(703) 493-0407 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Jun 16, 2021 (2 updates tracked since 2021).

About Jazmyn Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZMYN WILSON (NPI 1124696042) is an individual clinical provider in Glen Allen, Virginia, licensed in Maryland (22675) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124696042
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAZMYN WILSON
Location AddressPO BOX 974Glen Allen, VA 23060-0974
Mailing AddressPo Box 974Glen Allen, VA 23060-0974 · (804) 592-6696
Phone(703) 493-0407
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1124696042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 22675
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
PO BOX 974, Glen Allen, VA 23060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jazmyn Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406202423
PECOS Enrollment IDI20231104000797
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazmyn Wilson's NPI number?

The NPI number for Jazmyn Wilson is 1124696042. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Jazmyn Wilson located?

Jazmyn Wilson practices at PO Box 974, Glen Allen, VA 23060. The listed phone number is (703) 493-0407.

What is Jazmyn Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jazmyn Wilson enrolled in Medicare?

Yes. Jazmyn Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jazmyn Wilson was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.